M A De la Cal López

Publications (2)2.14 Total impact

• Article: [Summary of the consensus document: "Clinical practice guide for the management of low cardiac output syndrome in the postoperative period of heart surgery"].

  J L Pérez Vela, J C Martín Benitez, M Carrasco Gonzalez, M A de la Cal López, R Hinojosa Pérez, V Sagredo Meneses, F del Nogal Saez
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  ABSTRACT: Low cardiac output syndrome is a potential complication in cardiac surgery patients and is associated with increased morbidity and mortality. This guide provides recommendations for the management of these patients, immediately after surgery and following admission to the ICU. The recommendations are grouped into different sections, addressing from the most basic concepts such as definition of the disorder to the different sections of basic and advanced monitoring, and culminating with the complex management of this syndrome. We propose an algorithm for initial management, as well as two others for ventricular failure (predominantly left or right). Most of the recommendations are based on expert consensus, due to the lack of randomized trials of adequate design and sample size in patients of this kind. The quality of evidence and strength of the recommendations were based on the GRADE methodology. The guide is presented as a list of recommendations (with the level of evidence for each recommendation) for each question on the selected topic. For each question, justification of the recommendations is then provided.
  Medicina Intensiva 03/2012; 36(4):277-87. · 1.07 Impact Factor
• Article: [Clinical practice guide for the management of low cardiac output syndrome in the postoperative period of heart surgery].

  J L Pérez Vela, J C Martín Benítez, M Carrasco González, M A de la Cal López, R Hinojosa Pérez, V Sagredo Meneses, F del Nogal Saez
  [show abstract] [hide abstract]
  ABSTRACT: The low cardiac output syndrome is a potential complication in cardiac surgery patients and associated with increased morbidity and mortality. This guide is to provide recommendations for the management of these patients, immediately after surgery, admitted to the ICU. The recommendations are grouped into different sections, trying to answer from the most basic concepts such as the definition to the different sections of basic and advanced monitoring and ending with the complex management of this syndrome. We propose an algorithm for initial management, as well as two other for ventricular failure (predominantly left or right). Most of the recommendations are based on expert consensus because of the lack of randomized trials of adequate design and sample size in this group of patients. The quality of evidence and strength of the recommendations were made following the GRADE methodology. The guide is presented as a list of recommendations (and level of evidence for each recommendation) for each question on the selected topic. Then for each question, we proceed to the justification of the recommendations.
  Medicina Intensiva 03/2012; 36(4):e1-44. · 1.07 Impact Factor